Ukuncipha kwemisipha

I-muscle atrophy ukusaphaza (ukuncipha) noma ukulahleka kwezicubu zemisipha.

Kunezinhlobo ezintathu ze-atrophy yemisipha: i-physiologic, i-pathologic, neurogenic.

I-Physiologic atrophy ibangelwa ukungasebenzisi imisipha ngokwanele. Lolu hlobo lwe-atrophy lungaguqulwa ngokuzivocavoca umzimba kanye nokudla okunomsoco ongcono. Abantu abathinteka kakhulu yilabo:

• Unemisebenzi ehleli phansi, izinkinga zempilo ezikhawulela ukunyakaza, noma ukwehla kwamazinga womsebenzi
• Balaliswe embhedeni
• Abakwazi ukuhambisa izitho zabo ngenxa yesifo sohlangothi noma esinye isifo sobuchopho
• Zisendaweni engenawo amandla adonsela phansi, njengangezikhathi zezindiza

I-pathologic atrophy ibonakala ngokuguga, indlala, kanye nezifo ezinjenge-Cushing disease (ngenxa yokuphuza imithi eminingi kakhulu ebizwa nge-corticosteroids).

I-neurogenic atrophy uhlobo olunzima kakhulu lwe-muscle atrophy. Kungaba kusuka ekulimaleni kuya, noma isifo senzwa exhuma emisipheni. Lolu hlobo lwe-muscle atrophy luvame ukuvela ngokuzumayo kune-physiologic atrophy.

Izibonelo zezifo ezithinta izinzwa ezilawula imisipha:

• I-Amyotrophic lateral sclerosis (ALS, noma isifo seLou Gehrig)
• Ukulimala kwesibindi esisodwa, njenge-carpal tunnel syndrome
• Isifo se-Guillain-Barre
• Ukulimala kwemizwa okubangelwa ukulimala, isifo sikashukela, ubuthi noma utshwala
• Uvendle (uvendle)
• Ukulimala komgogodla

Yize abantu bekwazi ukujwayela i-muscle atrophy, noma i-muscle atrophy encane ibangela ukulahleka kokunyakaza noma amandla.

Ezinye izimbangela ze-muscle atrophy zingafaka:

• Kushe
• Ukwelashwa kwesikhathi eside kwe-corticosteroid
• Ukungondleki
• Imisipha dystrophy nezinye izifo zemisipha
• I-osteoarthritis
• Isifo samathambo

Uhlelo lokuzivocavoca lungasiza ekwelapheni i-muscle atrophy. Ukuzivocavoca kungabandakanya okwenziwe echibini lokubhukuda ukunciphisa umthwalo wemisipha, nezinye izinhlobo zokuvuselelwa. Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela kabanzi ngalokhu.

Abantu abangakwazi ukuhambisa ijoyinti elilodwa noma amaningi ngenkuthalo bangenza izivivinyo besebenzisa izinsimbi noma izinsimbi.

Shayela umhlinzeki wakho isikhathi sokuqokwa uma ulahlekelwe yimisipha engachazwanga noma yesikhathi eside. Ungakubona lokhu kaningi uma uqhathanisa isandla esisodwa, ingalo, noma umlenze kwesinye.

Umhlinzeki uzokwenza ukuhlolwa komzimba abuze ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Yaqala nini i-atrophy yemisipha?
• Ingabe kuya ngokuya kuba kubi?
• Yiziphi ezinye izimpawu onazo?

Umhlinzeki uzobheka izingalo nemilenze yakho bese elinganisa usayizi wemisipha. Lokhu kungasiza ukunquma ukuthi iziphi izinzwa ezithintekile.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi
• Ukuskena kwe-CT
• I-Electromyography (EMG)
• Ukuhlolwa kwe-MRI
• Imisipha noma i-nerve biopsy
• Izifundo zokuqhuba izinzwa
• Ama-X-ray

Ukwelashwa kungafaka ukwelashwa ngokomzimba, ukwelashwa nge-ultrasound futhi, kwezinye izimo, ukuhlinzwa ukulungisa isivumelwano.

Ukuchitheka kwemisipha; Ukulahla; I-Atrophy yemisipha

• Imisipha esebenzayo nengasebenzi
• I-atrophy yemisipha

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Uhlelo lweMusculoskeletal. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 22.

Selcen D. Izifo zemisipha. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 393.